Trans bashing

The United Nations adopted their Universal Declaration of Human Rights in 1948 as the first global declaration of human rights.[18] There are a number of articles in the declaration that have been suggested to specifically pertain to transgender people and violence (including, but not limited to, physical, psychological, legal, systemic, emotional, and political violence), although LGBT rights are not explicitly outlined in the document.

• Article 2 entitles individuals to all of the rights and freedoms set forth in the declaration "without distinction of any kind, such as race, colour, sex, language, religion, political or other opinion, national or social origin, property, birth or other status".
• Article 5 states that "[n]o one shall be subjected to torture or to cruel, inhuman or degrading treatment or punishment."
• Article 7 states that "[a]ll are equal before the law and are entitled without any discrimination to equal protection of the law. All are entitled to equal protection against any discrimination in violation of this Declaration and against any incitement to such discrimination".
• Article 9 bans "arbitrary arrest, detention or exile" (which, according to Article 2, is protected from distinction based on identity or belief).
• Article 20 states that "[e]veryone has the right to freedom of opinion and expression; this right includes freedom to hold opinions without interference and to seek, receive and impart information and ideas through any media and regardless of frontiers."[19]

Current U.S. LGBT hate crimes laws by state. A national hate crimes law encompasses both sexual orientation and gender identity.

  Sexual orientation and gender identity recognized in state hate crimes law

  Sexual orientation recognized in state hate crimes law

  Sexual orientation recognized for data collection about hate crimes

  State hate crimes law uninclusive of sexual orientation or gender identity

In the United States, currently seventeen states plus the District of Columbia have hate crime laws protecting people victimized on the basis of their gender identity (they are California, Colorado, Connecticut, Delaware, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, Missouri, Nevada, New Jersey, New Mexico, Oregon, Rhode Island, Vermont, Washington, and Washington, D.C.).[20]

In the late 2000s in Seattle's gay village of Capitol Hill, there was evidence of an increase in incidents of trans bashing.[21]

The Matthew Shepard Act expanded the federal hate crime laws to include gender, gender identity, and sexual orientation. In order to qualify as a federal hate crime in the United States, the crime must include successful or attempted bodily injury due to the use of firearm, explosives, weapons, fire, or incendiary devices.[22] Hate crimes are covered by state, rather than federal laws unless the victim or defendant travel across state lines or national borders; using an interstate commuting route; the weapon has been brought across state lines; or if the conduct interferes with or otherwise affects commerce across state lines.[22] This means that, unless hate crimes under the federal definition occur in a way that does not just affect one state, states have the freedom to implement their own hate crime laws. The protections of these laws range widely. Pennsylvania, for example, has not included gender identity in their hate crime protections since it was rescinded from the law in 2008.[23]

Bathroom bills are bills proposed with relation to bathroom access and gender identity.[24] There have been a number of bills proposed in the United States intended to limit access to restrooms for those who do not identify with the sex on their birth certificate. Some of these bills are justified with the rationale of protecting cisgender women from violent acts committed by cisgender men entering their facilities under the pretense of identifying as transgender women, although there is no evidence thus far of any incidences of this.[25][26][27]

Some transgender people are content, and may even prefer, using gender-neutral bathrooms, but others expect the right to use the bathroom of the gender with which they identify. The Gay, Lesbian, and Straight Education Network found that singling out trans students by offering them alternative facility options may backfire by increasing their chances of disengaging from school or dropping out entirely.[28]

It is transgender people who are likely to be harassed in bathrooms by cisgender people, not the other way around. In one survey, 70 percent of the transgender respondents had faced discrimination when attempting to use a restroom of their gender identity, including "denial of access to facilities, verbal harassment, and physical assault."[29] An example of such harassment occurred in 2018, when California Republican Congressional candidate Jazmina Saavedra said she heard the "voice of a man" from a locked stall in the women's restroom of a fast-food restaurant in Los Angeles and filmed herself chasing the person out of the restaurant with assistance from the restaurant manager. In the video, Saavedra said she was prepared to use pepper spray and a stungun against the transgender woman.[30] This kind of tactic can result in public outing of a transgender person's current or former gender identity.

One survey of transgender populations conducted in Washington, DC, by the group DC Trans Coalition, "found that 70 percent of survey respondents report experiencing verbal harassment, assault, and being denied access to public toilets."[31] It also found that "54 percent of all respondents reported having some sort of physical problem from trying to avoid using public toilets, such as dehydration, kidney infections, and urinary tract infections" making access to safe restrooms a public health issue.[31][32]

On February 23, 2020, a restaurant patron in Toa Baja, Puerto Rico made a police report that a transgender woman had entered the women's bathroom. Police arrived at the restaurant and spoke to the transgender woman. Someone filmed the police interaction and posted the video to social media. Later that day, the transgender woman—Alexa Negrón Luciano, also known as Neulisa Luciano Ruiz—was murdered.[33]

Malta passed the 'Gender Identity, Gender Expression, and Sex Characteristics Act in 2015. This bill states that all citizens of Malta have the right to

1. The recognition of their gender identity;
2. The free development of their person according to their gender identity;
3. Be treated according to their gender identity and, particularly, to be identified in that way in the documents providing their identity therein; and
4. Bodily integrity and physical autonomy.[34]

This act protects the gender identity of a person at all times. It also states that "person shall not be required to provide proof of a surgical procedure for total or partial genital reassignment, hormonal therapies or any other psychiatric, psychological or medical treatment to make use of the right to gender identity." The act allows parents to postpone listing gender on a child's birth certificate and prohibits “non-medically necessary treatments on the sex characteristics of a person.”[34][35]

Transgender people experience greater mental health problems, such as depression, anxiety, suicide attempts, and post traumatic stress disorder (PTSD), as well as physical health disparities (e.g., cardiovascular disease).[41] Trans people also have a higher rate of suicide attempts than the population as a whole.[42] In 2013, the 2.2% of U.S. adults had attempted suicide[43] while 41% of trans people had attempted suicide in 2011.[40] The rate of attempted suicide in transgender individuals increased to 51% for those bullied or harassed in school, 55% for those who recently lost a job due to bias, and 61% and 64% for those who were victims of physical and sexual assault, respectively.[40] Low self-esteem in transgender people has been linked to being at high-risk for HIV transmission.[44][45] In 2008, the rate of HIV in transgender women in North America was 27.7%.[46]

In the 2010 and 2011 NTDSRs, 19% of the people surveyed reported having been refused medical care due to their gender identity and 50% reported lack of provider knowledge of transgender health needs.[40][47] Under the Affordable Care Act, it is illegal for any health program receiving federal funding to discriminate based on gender identity. Discrimination includes refusal to admit, treat or provide any services that are available for other patients; subjection of patients to intrusive examination; harass or refuse to respond to harassment by other staff or patients; refusal to provide support services; obligation to participate in conversion therapy; and any sort of interference in the pursuit of health care rights.[48]

Race has been shown to compound manifestations of existing discrimination on the basis of gender identity.[40][47] Black trans women have the highest suicide rate of any other group in the United States, at almost half attempting in their lives, while cisgender black women attempt suicide at a rate of 1.7% on average.[49] Trans students of color face higher rates of harassment and violence in schools.[40] American Indian transgender students face the highest rates of sexual assault in school at 24%, followed by multiracial (18%), Asian (17%), and black (15%) students. White transgender students face a 9% rate of sexual assault in K–12.[40] Black trans women have a higher rate of HIV infection than other groups, with a 30.8–56.3% rate, versus 27.7% of MTF transgender people on average.[46]

In the 2011 National Transgender Discrimination Survey, 22% of respondents who had interacted with the police reported harassment due to bias. 20% reported denial of equal services. 48% reported being uncomfortable asking for police assistance. Respondents who had served time in jail reported a higher rate of harassment by officers than by others in jail. For all respondents, 7% reported being held in a jail cell solely due to gender identity expression, while this number was 41% for black and 21% for Latino trans respondents.[40] Transgender people have reported being refused medical care, particularly hormone therapy, in prison, with black trans people and American Indian trans people with the highest reporting rates.[40]